Search for small-bowel capsule diagnostic yield optimization conducted through observational analysis.

Autor:	Velayos B; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España. Electronic address: benitovelayos@hotmail.com., Calleja L; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., Muñoz MF; Unidad de Investigación, Hospital Clínico de Valladolid, Valladolid, España., Rizzo A; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., Macho A; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., Olmo L; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., García C; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., Antolín B; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., Izquierdo S; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España., Fernández L; Servicio de Aparato Digestivo, Hospital Clínico de Valladolid, Valladolid, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2024 Jun 20, pp. 502223. Date of Electronic Publication: 2024 Jun 20.
DOI:	10.1016/j.gastrohep.2024.502223
Abstrakt:	Objectives: To search for parameters susceptible to optimization when performing capsule endoscopy (CE) in a third level hospital with high volume and experience in this test. Patients and Methods: Retrospective observational study, including 1325 CEs performed between 2017 and 2022. Overall diagnostic yield, effective diagnostic yield, by indication, place of request and waiting list, as well as complete examination rate and cleansing degree were analyzed. Results: The overall diagnostic yield was 70.99%, while the effective diagnostic yield was 72.7%. Diagnostic yields varied between 60.2% and 77.9% depending on the indication and between 64.7% and 74.3% depending on the requesting center. The mean waiting list was 101.15 days, with a tendency to worse results when the waiting list was longer. A total of 77.8% of the examinations were complete. Completion rates were lower in patients >70 years of age (p=0.001), as well as in those with gastric transit >60minutes (p=0.000). A total of 77.3% were clean, with debris that did not impede diagnosis being found in 16.9% and debris that did impede diagnosis in 5.8%. There was a relationship, although not significant, between cleansing degree and age. Conclusions: The diagnostic yields of CE in our center are in line with those previously reported. Differences were found according to the place of request. Waiting list could also influence diagnostic yield. Completion rates are lower in >70 years of age and when gastric transit is >60minutes. Cleansing degree achieved is acceptable. (Copyright © 2024 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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